Hernandez, Marisa

Hernandez, Marisa is an individual health care provider with primary practice located at 31760 Casino Dr Ste 100 , Lake Elsinore CA 92530-4561. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Hernandez, Marisa can be contacted via phone (951) 471-4600.

Contact Information

Primary practice address
31760 Casino Dr Ste 100 Lake Elsinore CA 92530-4561
Phone: (951) 471-4600
Fax: (951) 471-4623
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1386455541
LBN Legal business name Hernandez, Marisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2025
Last updated Jun 25th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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